Harrison trust flex plan 2026

1. Click ‘Get Form’ to open the harrison trust flex plan in the editor.
2. Begin by filling out your Employee Information. Enter your last name, first name, street address, city, state, zip code, and phone number. If you have a new address, check the corresponding box.
3. Provide your Social Security Number and date of birth. Ensure accuracy as this information is crucial for processing your claim.
4. In the Patient Information section, indicate whether the patient is yourself, spouse, child, or other. Fill in the required details such as name and date of birth.
5. Select the type of claim you are submitting by marking the appropriate box. Refer to your Benefits Booklet for eligibility requirements related to each benefit.
6. Complete any additional fields based on your selected claim type. For example, if claiming medical care reimbursement, submit necessary receipts and documentation.
7. Finally, review all entered information for accuracy before signing and dating the form at the bottom.

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